ArticleJournal of orthopaedic case reports2025
Retrieval Technique of a Broken Guidewire During Core Decompression: Bailout Options - A Case Report.
Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Hardware failure during orthopedic procedures is a rare but serious complication. Guidewire breakage, especially during hip surgeries, poses a risk of deep migration, potentially leading to damage to intrapelvic structures. Retrieval of a broken wire from the femoral head or acetabulum carries significant risk, including iatrogenic cartilage damage and injury to pelvic organs. Case Report: We report a case of a 19-year-old male presenting with avascular necrosis of bilateral femoral heads (Association Research Circulation Osseous Stage II) who underwent core decompression with platelet-rich plasma injection. The guidewire used broke in the femoral head and migrated into the acetabulum during the surgery, which was successfully retrieved using a combination of over-reaming and an arthroscopic grasper. Conclusion: Our method effectively retrieved the broken guidewire using a minimally invasive technique. Various bailout options, precautions, and prevention strategies are discussed to aid orthopedic surgeons in managing this complication safely.
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